Provider Demographics
NPI:1841745288
Name:COMMUNITY HOUSING INC.
Entity Type:Organization
Organization Name:COMMUNITY HOUSING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAMPUS HOUSING ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-617-7317
Mailing Address - Street 1:649 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2032
Mailing Address - Country:US
Mailing Address - Phone:650-617-7373
Mailing Address - Fax:650-617-7448
Practice Address - Street 1:649 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2032
Practice Address - Country:US
Practice Address - Phone:650-617-7373
Practice Address - Fax:650-617-7448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA430701864310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility